Assinale as palavras abaixo que se adaptam a você:
( ) Inútil ( ) Desprezível ( ) Um “João ( ) A vida vazia
Ninguém”
( ) Inadequado ( ) Estúpido ( ) Incompetente ( ) Ingênuo
( ) Não consegue ( ) Culpado ( ) Mau ( ) Moralmente
fazer nada certo errado
( ) Pensamentos ( ) Sempre em ( ) Pleno ódio ( ) Ansioso
horríveis conflito
( ) Agitado ( ) Covarde ( ) Indeciso ( ) Vive em
pânico
( ) Agressivo ( ) Feio ( ) Deformado ( ) Sem atrativos
( ) Repulsivo ( ) Deprimido ( ) Solitário ( ) Não amado
( ) Equivocado ( ) Aborrecido ( ) Impaciente ( ) Confuso
( ) Infiel ( ) Hostil ( ) Arrependido ( ) Respeitável
( ) Atraente ( ) Compreensivo ( ) Fiel ( ) Respeitador
12. História Seqüencial:
Favor resumir as suas memórias e experiências mais significativas entre as seguintes idades:
00 a 05 anos: __________________________________________________________________
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06 a 10 anos: __________________________________________________________________
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11 a 15 anos: __________________________________________________________________
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16 a 20 anos: __________________________________________________________________
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21 a 25 anos: __________________________________________________________________
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26 a 30 anos: __________________________________________________________________
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31 a 35 anos: __________________________________________________________________
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36 a 40 anos: __________________________________________________________________
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41 a 45 anos: __________________________________________________________________
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46 a 50 anos: __________________________________________________________________
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51 a 55 anos: __________________________________________________________________
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56 a 60 anos: __________________________________________________________________
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61 a 65 anos: __________________________________________________________________
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Acima de 66 anos: _____________________________________________________________
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